Maternal Mirror Syndrome (Ballantyne Syndrome)

 

Synonym: pseudotoxemia, maternal hydrops, early onset preeclampsia

 

Patient selection: pregnant woman

 

Hydrops is present in the fetus and precedes the maternal changes.

 

Fetal conditions may include:

(1) Rhesus incompatibility

(2) twin-twin transfusion syndrome

(3) viral infection

(4) fetal malformations

(5) fetal tumors

(6) placental tumors

 

Findings in the mother secondary to (“mirroring”) the fetal hydrops:

(1) water retention with edema

(2) hypertension

(3) proteinuria

(4) eclampsia

 

The onset is usually from 22-28 weeks of gestaton.